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I used Claude Code to get a second opinion on my MRI

antoine.fi

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Re: I used Claude Code to get a second opinion on my MRI

#61

Post by sxg »

whatever1 wrote: post #49
nlawalker wrote: post #40

Earlier quoted context omitted.

> no one else seems to find this to be quite damning for the AI services being offered, preferring instanced to be wowed by the convenience and speed at which they can be delivered unreviewed and unproven information "Be wowed by the convenience and speed", or merely "take advantage of the mere availability"? What most people find to be damning about expert advice is that they simply can't get it anywhere, at any cos…

So if you want to do a surgery but you don’t see any surgeons around you ask a grocery butcher to have his way?

In certain circumstances, the answer is yes. If an airplane's pilots are incapacitated, do you simply give up and crash the plane because there are no other pilots on board? Or would you rather have someone on the ground try to coach a passenger into at least attempting to land the plane?

Re: I used Claude Code to get a second opinion on my MRI

#62

Post by simianwords »

swiftcoder wrote: post #56
consensus1 wrote: post #35

Earlier quoted context omitted.

But why should I care? If you demonstrated that a model can perform more accurate diagnoses than a doctor, but also it had this strange behavior when no image was presented, why should that deter me from using the model?

Because you don’t have any way of telling if it actually used the image presented, or based it’s conclusions on a different image it made up

Really? You know you could just ask it.

Re: I used Claude Code to get a second opinion on my MRI

#63

Post by rvnx »

tuvix wrote: post #42
weatherlite wrote: post #13

Earlier quoted context omitted.

Nightmare because they're always right and the A.I second guessing is always wrong, or because they just don't like to be second guessed?

There’s more than two options here. It was already difficult to deal with self diagnosis for doctors, now we have a machine that outputs recommendations, and does it with confidence whether it’s correct or not. The same issues that were present with search-engine self diagnosis are still present with LLMs. If you provide Google with an incomplete list of symptoms and can’t interpret the information you find correctly…

There are quite a few disclaimers everywhere that soften confidence: "always ask a medical specialist", "I'm not a doctor", "this could have been this or that but really not sure", etc.

Re: I used Claude Code to get a second opinion on my MRI

#64

Post by willsmith72 »

hennell wrote: post #53

Personally my favourite feature of the new ai world is not when I use it directly but it's when one of my managers uses it to try to fix a problem, then issue to me their findings and I have to defend my process to someone who understands neither my process, their suggested solution nor often the problem they're solving in the first place.

True, but this was a problem long before AI (read this article, met this guy at a conference who told me x, my boss said blah)

AI probably exacerbates it but crappy managers exist regardless

Re: I used Claude Code to get a second opinion on my MRI

#65

Post by eqvinox »

> My hope is that in a couple of model generations, we'll trust AI to review MRIs the way we trust it to proofread our emails.

https://www.nature.com/articles/d41586-026-01947-1

I've started asking my doctors whether they use AI, and if they say yes look for another one.

Re: I used Claude Code to get a second opinion on my MRI

#67

Post by nostrebored »

jeswin wrote: post #31

I would not trust AI on images. But I once had ChatGPT tell me that an MRI report was very likely to be incorrect based on the text, and offered a different diagnosis. Since it was semi insisting, I visited another doctor who made me do a retest. Long story short, ChatGPT was correct. Again, this is just one single person's experience. So not worth much.

I think that much of the visual gap is because what to attend to in images is less structured. Anecdotally small qwen finetunes (ie less than 10B) take task accuracy from sub 30% on FMs to 90%. We have sold some of these for outcome based back office tasks.

I think we’ll see a lot of specialized VLMs that provide real value.

Re: I used Claude Code to get a second opinion on my MRI

#68

Post by Retric »

Legend2440 wrote: post #46
drw85 wrote: post #25

Earlier quoted context omitted.

Nightmare because the AI is just generating a random text that fits the question.

This is not a fair assessment of what AI is doing. Studies have found that newer reasoning AIs are about as good at diagnosing illness from a written description of symptoms as doctors are. Granted, it cannot actually examine a patient, so we're not replacing doctors anytime soon. But your view is obsolete. https://www.science.org/doi/10.1126/science.adz4433

They are using the “gold standard for the evaluation of expert medical computing systems” not a proxy for what a doctor actually does when diagnosing someone.

It may have some utility after diagnosis, but this test doesn’t demonstrate utility for patients.

Re: I used Claude Code to get a second opinion on my MRI

#69

Post by busymom0 »

VladVladikoff wrote: post #50

Hey OP my wife had a subscap tear and went through with surgery. Recovery was ROUGH, she couldn’t use that arm at all for almost two months. It’s amazing how much this can cripple a person, we don’t realize how much we use both our hands for our daily lives until one is gone. Even basic stuff like cooking, bathing, etc. If you can avoid surgery you should. Try doing the Buckburger 12 (spelling?) shoulder physiotherap…

I do powerlifting and couple years ago, I developed bicep tendinitis on my right arm. Even a tiny bit of weight on it while palm facing up would cause crazy pain. It was funny how I weight from lifting heavy weights to not even being able to carry a plate of food, not being able to press soap dispensers, or give a spot to someone at the gym.

Even a tiny injury can severely cripple us.

Re: I used Claude Code to get a second opinion on my MRI

#70

Post by throwatdem12311 »

eqvinox wrote: post #65

> My hope is that in a couple of model generations, we'll trust AI to review MRIs the way we trust it to proofread our emails. https://www.nature.com/articles/d41586-026-01947-1 I've started asking my doctors whether they use AI, and if they say yes look for another one.

I don’t even trust AI to proofread my emails.
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